Organization
ACTIVE MA, INC.
Active
Organization
ACTIVE MA, INC.
Active
Parent organization
ACTIVE DAY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY, INC.
Authorized official
CRAIG O MEHNERT (COO)
(215) 642-6600
Entity
Organization
Contact information
Practice address
370 LIBBEY PKWY STE 800, WEYMOUTH, MA 02189-3179
(781) 749-1310
(781) 749-1360
Mailing address
6 NESHAMINY INTERPLEX, SUITE 401, TREVOSE, PA 19053-6964
(215) 642-6600
(215) 642-6610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110032728E
—
MA
Enumeration date
03/03/2016
Last updated
01/25/2018
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